Individual
MR. CHARLES S RADIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCADC
Contact information
Practice address
26 EVERGREEN AVE, NEPTUNE CITY, NJ 07753-6542
(732) 539-2924
Mailing address
26 EVERGREEN AVE, NEPTUNE CITY, NJ 07753-6542
(732) 539-2924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00078200
NJ
101YP2500X
Professional Counselor
Primary
37PC00290000
NJ
Other
Enumeration date
01/05/2007
Last updated
01/08/2008
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